Individual
DR. MARTIN D KILLEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8020 S 13TH ST, LINCOLN, NE 68512-9371
(402) 421-8020
(402) 421-1320
Mailing address
8020 S 13TH ST, LINCOLN, NE 68512-9371
(402) 421-8020
(402) 421-1320
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6492
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025264500
—
NE
Enumeration date
06/12/2006
Last updated
07/08/2007
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